Organization · NPI-2
Innovative Training Solutions
Specialist/Technologist, Athletic Trainer · Southgate, MI
NPI number1417612458
StatusActive
Last updated in NPPESNov 4, 2021
Details
- NPI
- 1417612458
- Entity type
- Organization (NPI-2)
- Legal business name
- Innovative Training Solutions
- Organization subpart
- No
- Enumeration date
- Nov 4, 2021
- Certification date
- Nov 4, 2021
- Last updated
- Nov 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
13757 Eureka RdSouthgate, MI 48195-1352
Phone 734-258-8705
Mailing address
6486 N Gulley RdDearborn Heights, MI 48127-2033
Phone 313-363-9121
Authorized official
Anna Maria Napolitano
Owner
3133639121
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